We currently have 3 providers using Dragon Medical 10.1 for about 6 months. I have run the "Acoustic and Language Model Optimizer", have added words from previous dictations, and have run the "Vocabulary Optimizer". They still seem to get weird anomalies when dictating. Is anyone else running into these issues, or have any solution?

Try reinstalling the Dictaphone driver? Dragon isn't perfect, I think our doctors notice ~10% incorrect interpretation. But we have it on about 40 PCs with about 20 doctors using it. Are the anomalies spelling or grammatically related. We had a weird issue where text would randomly become all caps or lowercase.

Just got off the phone with Paul with Nuarnce support (1-800-833-7776), he says that the box version of Dragon Medical 10.1 is the latest and greatest, and there are no software updates available, only the firmware update for the microphone.

Try reinstalling the Dictaphone driver? Dragon isn't perfect, I think our doctors notice ~10% incorrect interpretation. But we have it on about 40 PCs with about 20 doctors using it. Are the anomalies spelling or grammatically related. We had a weird issue where text would randomly become all caps or lowercase.

The anomalies are completely different word substitutions. I'm not aware of spelling and grammatical errors. Just mostly incorrect interpretations even after retraining, visiting the accuracy center. You are probably spot on with the 10% incorrect interpretation. Our providers say that using Dragon adds 25%-30% more to the amount of time it takes them to dictate, rather than having someone else transcribe a recording.

I've set the providers up to record audio, then have our Medical Records translate the recording right in Dragon, and even Medical Records gets frustrated and doesn't want to use Dragon. It will lock up on then, or spit out random interpretations. Medical Records says they can transcribe faster with a foot pedal and just type the audio. Neither party finds themselves trusting Dragon, and they end up having to make constant corrections, and reproof the dictation very carefully.

What we really need is a "How-To-Dictate" training for our providers so they can say less and mean the same thing. The providers who say about 300 words per dictation enjoy using Dragon, however the providers that average 600 words per dictation find it frustrating.

We use streamlined templates, and I have setup commands for "open clinic note" which opens word with the clinic dictation template, and "next variable" commands to jump through the SOAP note. I thought this would save them time with the 10% added inconsistency, however have found that it adds 2 minutes to a 4 minute dictation, or 3 minutes to a 6 minute dictation. Apparently it is unreasonable to ask a provider to sacrifice 2-3 minutes to save the facility in staffing two dedicated transcriptionist.

I think Dragon should be advertised as: "If you can get your providers to use it, it will save your practice costs in transcription".

What we really need is a "How-To-Dictate" training for our providers so they can say less and mean the same thing.

Spot on, we were luck enough to have a person from our one of our EMR vendors come out and go through exact system requirements and give us some shortcut pamphlets. I wish we still had some, but Dragon does require knowing the key words like "spell that" to help with corrections. It is just a learning curve and as we know docs never like change.

This is a completley different question, but do you know where I can send my providers to get training on short, concise, abbreviated dictating? Or maybe someone they could talk to that is very good at convincing clinicians to change habbits?

This is a completley different question, but do you know where I can send my providers to get training on short, concise, abbreviated dictating? Or maybe someone they could talk to that is very good at convincing clinicians to change habbits?

I don't know of any consultants that do, but I am sure there are some with all the new standards coming around. Everyone is going to EHR so someone must do training. We did have a company come in and do custom macros for our system which the doctors seem to like.

We purchased Dragon Version 11, and new Desktop's with the Intel i7 processor. The accuracy improved by about 15% and the speed improved immensely from the existing AMD x2 dual cores. If you are still using Dragon Medical 10.1 I would suggest upgrading to 11, it is definitely more accurate!

We are using Nuance PowerScribe 360|Reporting which is based off of the Dragon 10.1 recognition engine and have not had any other issues except for getting the providers to be consistent in their holding of the microphone.

I have one physician that like to use the microphone as a pointing device, waving it all around while dictating. Since we were able to get him to stop, him recognition has improved greatly.